Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $419.15 / $5,506.55	Facility		$131.28	$419.15	$5,506.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $208.53 / $677.48	Professional		$127.50	$208.53	$677.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $434.87 / $934.80	Professional		$191.97	$434.87	$934.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.17 / $637.08 / $1,027.58	Facility		$545.17	$637.08	$1,027.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $425.40 / $732.05	Professional		$201.00	$425.40	$732.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $204.92 / $400.52	Facility		$91.06	$204.92	$400.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $268.76 / $5,261.00	Facility		$123.20	$268.76	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.39 / $632.54 / $1,041.51	Professional		$226.39	$632.54	$1,041.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $264.86 / $501.39	Professional		$85.00	$264.86	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $204.92 / $400.52	Facility		$73.50	$204.92	$400.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.91 / $433.90 / $682.39	Professional		$279.91	$433.90	$682.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $568.52 / $568.52	Facility		$568.52	$568.52	$568.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $867.02 / $3,577.25	Professional		$186.82	$867.02	$3,577.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.52 / $590.02 / $997.33	Professional		$388.52	$590.02	$997.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $582.99 / $913.50	Professional		$217.37	$582.99	$913.50